DEE ANN MUCK LPN NPI 1104987411

NPI Information

NPI: 1104987411
Provider Name: DEE ANN MUCK, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
733 RICE RD
HIMROD, NY
ZIP 14842
Phone: (607) 243-7576
Get Directions

Dee Ann Muck, LPN is a licensed practical nurse in Himrod, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Dee Ann Muck, LPN NPI is 1104987411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

733 RICE RD
HIMROD, NY
ZIP 14842-728
Phone: (607) 243-7576

The enumeration date for this NPI number is 12/12/2006 and was last updated on 11/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		282482-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02707826	MEDICAID	NEW YORK
2	282482-1	OTHER	NEW YORK	NYS LPN LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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